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NPI Code Detail

MEDICARE: JESSICA BONETTI

MEDICARE: JESSICA BONETTI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1225983794
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA BONETTI
Provider Business Mailing Address
First Line : 348 ALBRIGHT MCKAY RD SE
Second Line :
City : BROOKFIELD
State : OH
Zip : 44403-9706
Country : US
Telephone Number : 724-992-4818
Fax Number :
Provider Business Practice Location Address
First Line : 711 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44502-1039
Country : US
Telephone Number : 330-793-2487
Fax Number : 330-743-5748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ JESSICA BONETTI ” Practice Location

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